Long-Term Nursing Facility Management Risks
FACILITY-ACQUIRED INFECTIONS
Long-Term Nursing Family Management Risks
The major risk management issue of our hospital is the spread of nosocomial infections, more popularly known in the medical circle as hospital-acquired infections. This infection is something that a patient can contract or develop besides the condition for which he is admitted (Duel et al. eds, 2004). The include infections, which surface after discharge and occupational types among the workforce of the facility. These are widespread globally and assert strong impact among patients and facility workforce. The most common sites, according to a recent survey, are the urinary tract, the catether site, respiratory tract, bacteremia, skin and soft tissue, lower respiratory, surgical and the eyes (Duel et al., eds).
In our 150-bed facility in Chicago, pneumonia is a critical respiratory nosocomial infection concern. Our facility is a component of one of the biggest network of medical care facilities in Illinois. The chief cause of pneumonia was found to be caused by the use of ventilators with 32 cases increasing to 41 in a year alone and a loss of close to $2 million to the facility. Management introduced a clinical and operational improvement plan to address the spread of the infection and save on ventilator-associated-pneumonia. The Plan was developed from a study, entitled "The Benefits of a Comprehensive Oral Care Regimen for Patients at-Risk for Ventilation-Associated-Pneumonia or VAP." The Plan advocates the use of swabs and suctions to hang in patients' rooms to remind them to use them on a 24-hour basis. The savings realized from the swabs justified the cost made on the suctions, which were introduced at a later time.
This Plan also consists of regular assessment of the oral cavity every half-day by a registered nurse; provision of oral cleansing agents for intubated and unconscious patients every 2-4 hours; brushing the teeth every 12 hours; deep orop[haryngeal suctioning every 12 hours; change in suction canisters and tubing and of yankauer catheters...
Simply put, it is impossible to regulate motivation and concern on the part of caregivers. On the other hand, there are various ways that at least some of the external manifestations of lack of concern for patient welfare can be better identified and addressed than they seem to be at many facilities. Failure to adhere to fundamental protocols, such as those pertaining to antisepsis have been proven time and
Quality Improvement Program Needs Assessment and Quality Improvement Plan Paula Stechschulte, PhD, RN Quarter This paper discusses the process of drafting a quality improvement plan at a community level medical facility, a plan that is aimed at reducing days under urinary catheter and also reducing the rates of infections associated with the said catheters. As a high rate of incidence of infection related to catheter usage is costly for the hospital, this implementation
Reducing The Risk of CVC Related Infections Post InsertionMultiple lumen central venous catheters (CVCs) are used to administer large amounts of intravenous fluids, blood products, and medications. In the past, they were only used in the intensive care unit. However, they are now used in all areas of health care. CVCs are inserted through a large central vein like the subclavian vein, and they terminate at the junction of the
These are questions dealing with attitude and are the most important questions when doing qualitative social science research to gauge relationships among events. In addition to construction questions about attitudes, it is important to have the questions drafted in the correct format (Nachmias, 2008). The Quantitative methodologies will be the statistical tests designed for the overall model to incorporate the information provided through one, two or all of the Qualitative
Hygiene Proposal World Health Organization, (2007) estimates that more than 1.4 million people suffer form one disease to the other and HAI (Health care-associated infections) are the most important infections that occurs globally. In advanced countries, between 5% and 10% of patients acquire one or more infections within the hospitals environment while between 15 and 40% of patients-to-critical-care are estimated to be affected. In the United States, one out 136
Patient care and recovery statistics demonstrate that the United States has a medical care system with which Americans are less satisfied than other citizens in developed countries. There are many reasons for this: correlation between health and socioeconomic status; non-universality; federal government is not involved in medical planning although it purchases a large percentage of the 14% health care GNP; lobbying and special interest group interference; and political opposition to
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